Can sitagliptin/metformin 50/500 1 tab once day be given to patient in prediabetic range?
72 year, weight 52 kg. Hba1c is 6.4. FBS remains normal. PPBS around 130-140-143. Has early compensated liver cirrhosis. Normal creatinine. Hypertension.
Dr who prescribed also said to increase the dose. I hv heard prediabetes can b managed on metformin alone but not sure. No proper response from dr.
Please tell whether or not sitagliptin/metformin is right drug and dose for her n her condition??🙏🏻
BP remains high. Can it pose any risk if u consider it over treated.
29M, 98kg, 178cm (BMI 31). Fasting labs 22/06/2026.
Fasting Glucose: 93 (normal)
HbA1c: 5.7% (borderline)
Fasting Insulin: 54 mIU/L (high, ref 2.6-24.9)
HOMA-IR: 6.4 (high, ref 0.7-2.0)
ALT 64, GGT 98 ( fatty liver), Vit D 16 (deficient). Hypertension on Cilnidipine. No diabetes.
Endocrinologist advised only weight loss and vitamin D. But my HOMA-IR is 3x the upper limit. Should I be on metformin at this stage to address insulin resistance and protect against diabetes, or is weight loss alone the right approach? Also open to GLP-1 if appropriate given BMI 31.
My thyroid levels are under control at 2.589 (TSH) But my doctor suggested that I take Thyronorm 50 mcg daily. I have been doing that for four years now. I take the tablet at 8 am on empty stomach. It is a bit inconvenient for me. Can I take it in the evening say at 5 pm daily. I eat dinner at around 9.30 pm. In between, I drink juice during badminton at 8 pm and eat a small bite of brownie at 7.45 pm. Please advise if it is ok to take the tablet at 5 pm. Thanks.
My prolactins level were high and doctor suggested MRI
These are the findings
"There is an ovoid nodule measuring 6.6 x 8.8 x 5.7 mm (AP x TR x CC) seen in
pituitary gland on left side, which appears isointense on T1, heterogeneously
hyperintense on T2, hypoenhancing on early phase of dynamic contrast images
and intense homogeneous contrast enhancement on delayed images of dynamic
study. Pituitary stalk is deviated towards right side. Imaging findings are
suggestive of pituitary microadenoma. Serum prolactin estimation is suggested."
I am very worried, what does it mean ?
My mother's fasting sugar is going in range of 140 range and PP 180 .She takes triglimiprex at before breakfast and zukanorm d10 before dinner .This is happening for last 1 month .
How to control this ?what adjustment to do.
can She take in this format triglimiprex 2 at breakfast;zukanorm at lunch and teneliglip 20 at night before dinner with the above two medicines.
